Individual Account Application Form

1
What is your name?* This field is required.Please enter your full name as it appears in your passport
First Name
Last Name
2
What is your name?* This field is required.Please enter your full name as it appears in your passport
Full Name
3
Please enter your E-mail* This field is required.This will be our main mode of communication. Please ensure that it is accurate.
Email
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4
Please enter your main phone number* This field is required.
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Afghanistan (+93)
Albania (+355)
Algeria (+213)
American Samoa (+1)
Andorra (+376)
Angola (+244)
Anguilla (+1)
Antarctica (+672)
Antigua & Barbuda (+1)
Argentina (+54)
Armenia (+374)
Aruba (+297)
Australia (+61)
Austria (+43)
Azerbaijan (+994)
Bahamas (+1)
Bahrain (+973)
Bangladesh (+880)
Barbados (+1)
Belarus (+375)
Belgium (+32)
Belize (+501)
Benin (+229)
Bermuda (+1)
Bhutan (+975)
Bolivia (+591)
Bosnia & Herzegovina (+387)
Botswana (+267)
Bouvet Island (+0)
Brazil (+55)
British Indian Ocean Territory (+246)
British Virgin Islands (+1)
Brunei (+673)
Burundi (+257)
Cambodia (+855)
Canada (+1)
Cape Verde (+238)
Cayman Islands (+1)
Central African Republic (+236)
Chad (+235)
Chile (+56)
China (+86)
Christmas Island (+61)
Cocos (Keeling) Islands (+61)
Colombia (+57)
Comoros (+269)
Republic of the Congo (Brazzaville)(+242)
Cook Islands (+682)
Costa Rica (+506)
Côte d’Ivoire (+225)
Cuba (+53)
Curaçao (+599)
Cyprus (+357)
Czechia (+420)
Denmark (+45)
Djibouti (+253)
Dominica (+1)
Dominican Republic (+1)
Ecuador (+593)
Egypt (+20)
El Salvador (+503)
Equatorial Guinea (+240)
Eritrea (+291)
Estonia (+372)
Eswatini (+268)
Ethiopia (+251)
Falkland Islands (+500)
Faroe Islands (+298)
Fiji (+679)
Finland (+358)
France (+33)
French Guiana (+594)
French Polynesia (+689)
French Southern Territories
Gabon (+241)
Gambia (+220)
Georgia (+995)
Germany (+49)
Ghana (+233)
Gibraltar (+350)
Greece (+30)
Greenland (+299)
Grenada (+473)
Guadeloupe (+590)
Guam (+671)
Guatemala (+502)
Guernsey (+1481)
Guinea (+224)
Guinea-Bissau (+245)
Guyana (+592)
Heard & McDonald Islands (+672)
Honduras (+504)
Hong Kong SAR China (+852)
Hungary (+36)
Iceland (+354)
India (+91)
Indonesia (+62)
Iraq (+964)
Ireland (+353)
Isle of Man (+44)
Italy (+39)
Japan (+81)
Jersey (+1534)
Jordan (+962)
Kazakhstan (+7)
Kenya (+254)
Kiribati (+686)
Kosovo (+383)
Kuwait (+965)
Kyrgyzstan (+996)
Laos (+856)
Latvia (+371)
Lebanon (+961)
Lesotho (+266)
Liberia (+231)
Libya (+218)
Liechtenstein (+423)
Lithuania (+370)
Luxembourg (+352)
Macao SAR China (+853)
Madagascar (+261)
Malawi (+265)
Malaysia (+60)
Maldives (+960)
Malta (+356)
Marshall Islands (+692)
Martinique (+596)
Mauritania (+222)
Mauritius (+230)
Mayotte (+262)
Mexico (+52)
Micronesia (+691)
Moldova (+373)
Monaco (+377)
Mongolia (+976)
Montenegro (+382)
Montserrat (+664)
Morocco (+212)
Nauru (+674)
Nepal (+977)
Netherlands (+31)
Netherlands Antilles
New Caledonia (+687)
New Zealand (+64)
Nicaragua (+505)
Niger (+227)
Niue (+683)
Norfolk Island (+672)
North Macedonia (+389)
Northern Cyprus (+90)
Northern Mariana Islands (+670)
Norway (+47)
Oman (+968)
Pakistan (+92)
Palau (+680)
Palestine (+970)
Panama (+507)
Papua New Guinea (+675)
Paraguay (+595)
Peru (+51)
Pitcairn Islands (+64)
Poland (+48)
Portugal (+351)
Puerto Rico (+787)
Qatar (+974)
Réunion (+262)
Romania (+40)
Rwanda (+250)
Samoa (+685)
San Marino (+0549)
São Tomé & Príncipe (+239)
Saudi Arabia (+966)
Serbia (+381)
Seychelles (+248)
Sierra Leone (+232)
Singapore (+65)
Sint Maarten (+721)
Slovakia (+421)
Slovenia (+386)
Solomon Islands (+677)
Somalia (+252)
South Georgia & South Sandwich Islands (+0)
South Korea (+82)
South Ossetia (+7)
Spain (+34)
Sri Lanka (+94)
St. Barthélemy (+590)
St. Helena (+290)
St. Kitts & Nevis (+869)
St. Lucia (+1)
St. Pierre & Miquelon (+508)
St. Vincent & Grenadines (+1)
Sudan (+249)
Suriname (+597)
Svalbard & Jan Mayen (+0)
Sweden (+46)
Switzerland (+41)
Taiwan (+886)
Tajikistan (+992)
Thailand (+66)
Timor-Leste (+670)
Togo (+228)
Tokelau (+690)
Tonga (+676)
Trinidad & Tobago (+1)
Tunisia (+216)
Turkmenistan (+993)
Türkiye (+90)
Turks & Caicos Islands (+1)
Tuvalu (+688)
U.S. Outlying Islands (+1)
U.S. Virgin Islands (+1)
Uganda (+256)
Ukraine (+380)
United Arab Emirates (+971)
United Kingdom (+44)
United States (+1)
Uruguay (+598)
Uzbekistan (+998)
Vanuatu (+678)
Vatican City (+39)
Venezuela (+58)
Wallis & Futuna (+681)
Western Sahara (+0)
Zambia (+260)
Zimbabwe (+263)
Please select your country code
Please enter your phone number
5
Next, we need your Passport number for identity verification* This field is required.Please enter your Passport or ID Number below. National ID are only accepted for Malaysians.
6
Please select the ID issuing country* This field is required.
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Burundi
Cambodia
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Republic of the Congo (Brazzaville)
Cook Islands
Costa Rica
Côte d’Ivoire
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Italy
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
North Macedonia
Northern Cyprus
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Georgia & South Sandwich Islands
South Korea
South Ossetia
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Wallis & Futuna
Western Sahara
Zambia
Zimbabwe
7
How did you hear about Waafi Bank?
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Waafi Bank Website
Social Media
Trade Events
Internet Search
Family and Friends
Others
8
Are you a TAAJ customer?* This field is required.
YESNO
9
Please enter your Waafi Bank account number* This field is required.Kindly get the number from your servicing Taaj Agent
Please enter your 8 digits account number
10
Is your registered mobile number with TAAJ the same as the one you provided previously?* This field is required.
YESNO
11
Please enter the mobile number you registered with TAAJ* This field is required.
Please Select
Please Select
Afghanistan (+93)
Albania (+355)
Algeria (+213)
American Samoa (+1)
Andorra (+376)
Angola (+244)
Anguilla (+1)
Antarctica (+672)
Antigua & Barbuda (+1)
Argentina (+54)
Armenia (+374)
Aruba (+297)
Australia (+61)
Austria (+43)
Azerbaijan (+994)
Bahamas (+1)
Bahrain (+973)
Bangladesh (+880)
Barbados (+1)
Belarus (+375)
Belgium (+32)
Belize (+501)
Benin (+229)
Bermuda (+1)
Bhutan (+975)
Bolivia (+591)
Bosnia & Herzegovina (+387)
Botswana (+267)
Bouvet Island (+0)
Brazil (+55)
British Indian Ocean Territory (+246)
British Virgin Islands (+1)
Brunei (+673)
Burundi (+257)
Cambodia (+855)
Canada (+1)
Cape Verde (+238)
Cayman Islands (+1)
Central African Republic (+236)
Chad (+235)
Chile (+56)
China (+86)
Christmas Island (+61)
Cocos (Keeling) Islands (+61)
Colombia (+57)
Comoros (+269)
Republic of the Congo (Brazzaville)(+242)
Cook Islands (+682)
Costa Rica (+506)
Côte d’Ivoire (+225)
Cuba (+53)
Curaçao (+599)
Cyprus (+357)
Czechia (+420)
Denmark (+45)
Djibouti (+253)
Dominica (+1)
Dominican Republic (+1)
Ecuador (+593)
Egypt (+20)
El Salvador (+503)
Equatorial Guinea (+240)
Eritrea (+291)
Estonia (+372)
Eswatini (+268)
Ethiopia (+251)
Falkland Islands (+500)
Faroe Islands (+298)
Fiji (+679)
Finland (+358)
France (+33)
French Guiana (+594)
French Polynesia (+689)
French Southern Territories
Gabon (+241)
Gambia (+220)
Georgia (+995)
Germany (+49)
Ghana (+233)
Gibraltar (+350)
Greece (+30)
Greenland (+299)
Grenada (+473)
Guadeloupe (+590)
Guam (+671)
Guatemala (+502)
Guernsey (+1481)
Guinea (+224)
Guinea-Bissau (+245)
Guyana (+592)
Heard & McDonald Islands (+672)
Honduras (+504)
Hong Kong SAR China (+852)
Hungary (+36)
Iceland (+354)
India (+91)
Indonesia (+62)
Iraq (+964)
Ireland (+353)
Isle of Man (+44)
Italy (+39)
Japan (+81)
Jersey (+1534)
Jordan (+962)
Kazakhstan (+7)
Kenya (+254)
Kiribati (+686)
Kosovo (+383)
Kuwait (+965)
Kyrgyzstan (+996)
Laos (+856)
Latvia (+371)
Lebanon (+961)
Lesotho (+266)
Liberia (+231)
Libya (+218)
Liechtenstein (+423)
Lithuania (+370)
Luxembourg (+352)
Macao SAR China (+853)
Madagascar (+261)
Malawi (+265)
Malaysia (+60)
Maldives (+960)
Malta (+356)
Marshall Islands (+692)
Martinique (+596)
Mauritania (+222)
Mauritius (+230)
Mayotte (+262)
Mexico (+52)
Micronesia (+691)
Moldova (+373)
Monaco (+377)
Mongolia (+976)
Montenegro (+382)
Montserrat (+664)
Morocco (+212)
Nauru (+674)
Nepal (+977)
Netherlands (+31)
Netherlands Antilles
New Caledonia (+687)
New Zealand (+64)
Nicaragua (+505)
Niger (+227)
Niue (+683)
Norfolk Island (+672)
North Macedonia (+389)
Northern Cyprus (+90)
Northern Mariana Islands (+670)
Norway (+47)
Oman (+968)
Pakistan (+92)
Palau (+680)
Palestine (+970)
Panama (+507)
Papua New Guinea (+675)
Paraguay (+595)
Peru (+51)
Pitcairn Islands (+64)
Poland (+48)
Portugal (+351)
Puerto Rico (+787)
Qatar (+974)
Réunion (+262)
Romania (+40)
Rwanda (+250)
Samoa (+685)
San Marino (+0549)
São Tomé & Príncipe (+239)
Saudi Arabia (+966)
Serbia (+381)
Seychelles (+248)
Sierra Leone (+232)
Singapore (+65)
Sint Maarten (+721)
Slovakia (+421)
Slovenia (+386)
Solomon Islands (+677)
Somalia (+252)
South Georgia & South Sandwich Islands (+0)
South Korea (+82)
South Ossetia (+7)
Spain (+34)
Sri Lanka (+94)
St. Barthélemy (+590)
St. Helena (+290)
St. Kitts & Nevis (+869)
St. Lucia (+1)
St. Pierre & Miquelon (+508)
St. Vincent & Grenadines (+1)
Sudan (+249)
Suriname (+597)
Svalbard & Jan Mayen (+0)
Sweden (+46)
Switzerland (+41)
Taiwan (+886)
Tajikistan (+992)
Thailand (+66)
Timor-Leste (+670)
Togo (+228)
Tokelau (+690)
Tonga (+676)
Trinidad & Tobago (+1)
Tunisia (+216)
Turkmenistan (+993)
Türkiye (+90)
Turks & Caicos Islands (+1)
Tuvalu (+688)
U.S. Outlying Islands (+1)
U.S. Virgin Islands (+1)
Uganda (+256)
Ukraine (+380)
United Arab Emirates (+971)
United Kingdom (+44)
United States (+1)
Uruguay (+598)
Uzbekistan (+998)
Vanuatu (+678)
Vatican City (+39)
Venezuela (+58)
Wallis & Futuna (+681)
Western Sahara (+0)
Zambia (+260)
Zimbabwe (+263)
Please select your country code
Please enter your phone number
12
Please enter your current residential address below* This field is required.
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Burundi
Cambodia
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Republic of the Congo (Brazzaville)
Cook Islands
Costa Rica
Côte d’Ivoire
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Italy
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
North Macedonia
Northern Cyprus
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Georgia & South Sandwich Islands
South Korea
South Ossetia
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Türkiye
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Wallis & Futuna
Western Sahara
Zambia
Zimbabwe
Country
13
Is your Mailing Address the same as the above?* This field is required.
Yes
No
14
If not, please enter your mailing address below* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Burundi
Cambodia
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Republic of the Congo (Brazzaville)
Cook Islands
Costa Rica
Côte d’Ivoire
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Italy
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
North Macedonia
Northern Cyprus
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Georgia & South Sandwich Islands
South Korea
South Ossetia
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Türkiye
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Wallis & Futuna
Western Sahara
Zambia
Zimbabwe
Country
15
First off, are you new with Waafi Bank?* This field is required.Have you ever opened an account with us?
Yes, I am new to Waafi Bank
No, I already have a business account with Waafi Bank
16
Good to see you again, {whatIs156}! So what is the main purpose of you opening a savings account with us today?* This field is required.
Please Select
Please Select
I would like to open an additional individual account for savings for hajj, holidays, education and/or other purposes
I would like to open an additional individual account for the placement of extra money to be used for investment purposes in future.
17
What is the main purpose of you opening a savings account?* This field is required.Please select one
Please Select
Please Select
I would like to open an individual account for savings for hajj, holiday, education and/or other purposes.
I would like to open an individual account for the placement of extra money to be used for investment purposes in future.
I would like to open an individual account for sending and receiving money to and from parents and family members.
I would like to open an individual account for crediting my salary received from employment.
I would like to open an individual account for crediting proceeds from my small business.
I would like to open an individual account to save for homeownership in the UK
I would like to open an individual account to save for homeownership
I would like to open an individual account to use BerryPay services and authorize Waafi Bank to provide the necessary account information to BerryPay.
18
How much is the indicative purchase price or value for the house that you intend to purchase?* This field is required.
19
What is Your Main Source of Income/Wealth?* This field is required.
Please Select
Please Select
Salary
Personal Savings
Personal Wealth
Investment / Dividend Income
Inheritance
Retirement
Sale of Asset
Gift
Donation
Others
20
What is your source of personal savings?* This field is required.
21
What is your source of personal wealth?* This field is required.
22
What is your source of investment/dividend income?* This field is required.
23
What is your source of inheritance?
24
What was your last position at work?* This field is required.
25
What is the value of the assets that you have sold?* This field is required.e.g. 50,000 USD
26
What is the value of the gift?* This field is required.e.g. 50,000 USD
27
What is the value of the donation?* This field is required.e.g. 50,000 USD
28
Please specify.* This field is required.Briefly describe the source of your funds
29
What is your work industry?* This field is required.Please find your work industry below
Please Select
Please Select
Accommodation
Administrative Services
Adult, Community and Other Education
Agriculture, Forestry and Fishing Support Services
Air and Space Transport
Aquaculture
Auxiliary Finance and Insurance Services
Basic Chemical and Chemical Product Manufacturing
Basic Material Wholesaling
Beverage Product Manufacturing
Broadcasting (except Internet)
Building Cleaning, Pest Control and Other Support Services
Building Completion Services
Building Installation Services
Building Structure Services
Computer System Design and Related Services
Creative and Performing Arts Activities
Crop Product Manufacturing
Defence
Electricity Supply
Exploration and Other Mining Support Services
Fabricated Metal Product Manufacturing
Finance
Fishing, Hunting and Trapping
Food and Beverage Services
Food Retailing
Forestry and Logging
Fruit Tree and Nut Growing
Fuel Retailing
Furniture and Other Manufacturing
Gas Supply
Heavy and Civil Engineering Construction
Heritage Activities
Hospitals
Insurance and Superannuation Funds
Internet Publishing and Broadcasting
Internet Service Providers, Web Search Portals and Data Processing Services
Land Development and Site Preparation Services
Library and Other Information Services
Livestock Agriculture (except pig/pork/hog farming)
Livestock Product Manufacturing (except those related to pig/pork/hog farming)
Machinery and Equipment Manufacturing
Machinery and Equipment Wholesaling
Medical and Other Health Care Services
Metal Ore Mining
Motion Picture and Sound Recording Activities (except those that are not in accordance with Shariah)
Motor Vehicle and Motor Vehicle Parts Retailing
Motor Vehicle and Motor Vehicle Parts Wholesaling
Non-Metallic Mineral Mining and Quarrying
Non-Metallic Mineral Product Manufacturing
Non-Residential Building Construction
Non-Store Retailing and Retail Commission-Based Buying and/or Selling
Oil and Gas Extraction
Other Construction Services
Other Crop Growing
Other Food Manufacturing
Other Goods Wholesaling
Other Store-Based Retailing
Other Transport
Personal and Other Services
Petroleum and Coal Product Manufacturing
Polymer Product and Rubber Product Manufacturing
Postal and Courier Pick-up and Delivery Services
Preschool and School Education
Primary Metal and Metal Product Manufacturing
Printing (including the Reproduction of Recorded Media)
Private Households Employing Staff and Undifferentiated Goods- and Service-Producing Activities of Households for Own Use
Professional, Scientific and Technical Services (Except Computer System Design and Related Services)
Property Operators and Real Estate Services
Public Administration
Public Order, Safety and Regulatory Services
Publishing (except Internet and Music Publishing)
Pulp, Paper and Converted Paper Product Manufacturing
Rail Transport
Rental and Hiring Services (except Real Estate)
Repair and Maintenance
Residential Building Construction
Residential Care Services
Retail Duty Free
Road Transport
Seafood Processing
Social Assistance Services
Specialised Food Retailing
Sports and Recreation Activities
Telecommunications Services
Tertiary Education
Textile, Leather, Clothing and Footwear Manufacturing
Transport Equipment Manufacturing
Transport Support Services
Warehousing and Storage Services
Waste Collection, Treatment and Disposal Services
Water Supply, Sewerage and Drainage Services
Water Transport
Wood and Paper Product Manufacturing
30
What is the name of your current employer?* This field is required.Please enter the company name or your employer's name.
Company Name / Full Name of Employer
31
What is your position at work?* This field is required.Please find your occupation & position below.
Please Select
Please Select
Abattoir/Factory Worker
Accountant
Ambassador/High Commission
Architect/Landscape Architect
Archivist
Auctioneer
Auditor
Author/Novelist/Playwright/Poet/Screenwriter/Editor
Baker/Pastry cook/Biscuit maker
Barrister/Lawyer/Magistrate/Member of Parliament/Solicitor
Beautician
Blacksmith/Spring maker/Tool smith/Farrier
Boat Builder
Broadcasting and Entertainment
Builders Labourer/Demolition Worker/Crane Chaser
Bursar
Bus Conductor
Business Director/Manager/Secretary
Business Owner/Entrepreneur
Butcher
Cashier: Shop Operator/Service Station
CEO - Chief Executive Officer
CFO - Chief Financial Officer
Chef
Child Care Worker
Clerk
Commodities Broker
Computer Operator/Data Entry Operator
Construction Manager
Consultant
Data Analyst
Debt Collection Agent
Domestic Helper
Dressmaker/Tailor/Fashion Designer
Driver
Electrician
Engineer
Farm Manager/Owner
Finance and Banking Staff
Fire Fighter
Fisherman
Fitter: Vehicle/Car Accessories
Foreman
Government Minister/Public/Civil Servant/Mayor
Hairdresser
Hospitality/Service Professional
IT Professional
Jeweller
Labourer/Cleaner/Janitor
Lecturer/Teacher/Childcare
Machine Operator
Medical and health professionals
Messenger & Delivery Officer : Postal Worker/Copy Boy
Pilot
Police/Military/Armed Forces
Real Estate Salespersons/Property Mgrs.
Religious Professional
Retail Shop Manager
Scientist/Statistician/Mathematician/Geologist/Economist
Self Employed
Semi-Skilled Worker
Storeman
Tradesman/Artisan
Wholesale Shop Manager
32
What is your annual income?This is your income from this source over one year
Please Select
Please Select
USD
GBP
EUR
Currency
Please Select
Please Select
0 - 25,000
25,001 - 75,000
75,001 - 125,000
More than 125,000
Amount
33
What is your annual income?* This field is required.This is your income from this source over one year
Please Select
Please Select
0 - 25,000 USD
25,001 - 75,000 USD
75,001 - 125,000 USD
More than 125,000 USD
34
Is this your only source of income/wealth?* This field is required.
Yes
No, I have another source of income
35
What is your next biggest source of income?* This field is required.
Please Select
Please Select
Salary
Personal Savings
Personal Wealth
Investment / Dividend Income
Inheritance
Retirement
Sale of Asset
Gift
Donation
Others
36
What is your source of personal savings? * This field is required.SOF2
37
What is your source of personal wealth?* This field is required.SOF2
38
What is your source of investment/dividend income?* This field is required.SOF2
39
What is your source of inheritance?* This field is required.
40
What was your last position at work before retiring?* This field is required.
41
What is the value of the assets that you have sold?* This field is required.e.g. 50,000 USD
42
What is the value of the gift?* This field is required.e.g. 50,000 USD
43
What is the value of the donation?* This field is required.e.g. 50,000 USD
44
Please specify.* This field is required.Briefly describe the source of your funds
45
What is your work industry?* This field is required.Please find your work industry below
Please Select
Please Select
Accommodation
Administrative Services
Adult, Community and Other Education
Agriculture, Forestry and Fishing Support Services
Air and Space Transport
Aquaculture
Auxiliary Finance and Insurance Services
Basic Chemical and Chemical Product Manufacturing
Basic Material Wholesaling
Beverage Product Manufacturing
Broadcasting (except Internet)
Building Cleaning, Pest Control and Other Support Services
Building Completion Services
Building Installation Services
Building Structure Services
Computer System Design and Related Services
Creative and Performing Arts Activities
Crop Product Manufacturing
Defence
Electricity Supply
Exploration and Other Mining Support Services
Fabricated Metal Product Manufacturing
Finance
Fishing, Hunting and Trapping
Food and Beverage Services
Food Retailing
Forestry and Logging
Fruit Tree and Nut Growing
Fuel Retailing
Furniture and Other Manufacturing
Gas Supply
Heavy and Civil Engineering Construction
Heritage Activities
Hospitals
Insurance and Superannuation Funds
Internet Publishing and Broadcasting
Internet Service Providers, Web Search Portals and Data Processing Services
Land Development and Site Preparation Services
Library and Other Information Services
Livestock Agriculture (except pig/pork/hog farming)
Livestock Product Manufacturing (except those related to pig/pork/hog farming)
Machinery and Equipment Manufacturing
Machinery and Equipment Wholesaling
Medical and Other Health Care Services
Metal Ore Mining
Motion Picture and Sound Recording Activities (except those that are not in accordance with Shariah)
Motor Vehicle and Motor Vehicle Parts Retailing
Motor Vehicle and Motor Vehicle Parts Wholesaling
Non-Metallic Mineral Mining and Quarrying
Non-Metallic Mineral Product Manufacturing
Non-Residential Building Construction
Non-Store Retailing and Retail Commission-Based Buying and/or Selling
Oil and Gas Extraction
Other Construction Services
Other Crop Growing
Other Food Manufacturing
Other Goods Wholesaling
Other Store-Based Retailing
Other Transport
Personal and Other Services
Petroleum and Coal Product Manufacturing
Polymer Product and Rubber Product Manufacturing
Postal and Courier Pick-up and Delivery Services
Preschool and School Education
Primary Metal and Metal Product Manufacturing
Printing (including the Reproduction of Recorded Media)
Private Households Employing Staff and Undifferentiated Goods- and Service-Producing Activities of Households for Own Use
Professional, Scientific and Technical Services (Except Computer System Design and Related Services)
Property Operators and Real Estate Services
Public Administration
Public Order, Safety and Regulatory Services
Publishing (except Internet and Music Publishing)
Pulp, Paper and Converted Paper Product Manufacturing
Rail Transport
Rental and Hiring Services (except Real Estate)
Repair and Maintenance
Residential Building Construction
Residential Care Services
Retail Duty Free
Road Transport
Seafood Processing
Social Assistance Services
Specialised Food Retailing
Sports and Recreation Activities
Telecommunications Services
Tertiary Education
Textile, Leather, Clothing and Footwear Manufacturing
Transport Equipment Manufacturing
Transport Support Services
Warehousing and Storage Services
Waste Collection, Treatment and Disposal Services
Water Supply, Sewerage and Drainage Services
Water Transport
Wood and Paper Product Manufacturing
46
What is the name of your current employer?* This field is required.Please enter the company name or employer name.
47
What is your position at work?* This field is required.Please find your occupation & position below.
Please Select
Please Select
Abattoir/Factory Worker
Accountant
Ambassador/High Commission
Architect/Landscape Architect
Archivist
Auctioneer
Auditor
Author/Novelist/Playwright/Poet/Screenwriter/Editor
Baker/Pastry cook/Biscuit maker
Barrister/Lawyer/Magistrate/Member of Parliament/Solicitor
Beautician
Blacksmith/Spring maker/Tool smith/Farrier
Boat Builder
Broadcasting and Entertainment
Builders Labourer/Demolition Worker/Crane Chaser
Bursar
Bus Conductor
Business Director/Manager/Secretary
Business Owner/Entrepreneur
Butcher
Cashier: Shop Operator/Service Station
CEO - Chief Executive Officer
CFO - Chief Financial Officer
Chef
Child Care Worker
Clerk
Commodities Broker
Computer Operator/Data Entry Operator
Construction Manager
Consultant
Data Analyst
Debt Collection Agent
Domestic Helper
Dressmaker/Tailor/Fashion Designer
Driver
Electrician
Engineer
Farm Manager/Owner
Finance and Banking Staff
Fire Fighter
Fisherman
Fitter: Vehicle/Car Accessories
Foreman
Government Minister/Public/Civil Servant/Mayor
Hairdresser
Hospitality/Service Professional
IT Professional
Jeweller
Labourer/Cleaner/Janitor
Lecturer/Teacher/Childcare
Machine Operator
Medical and health professionals
Messenger & Delivery Officer : Postal Worker/Copy Boy
Pilot
Police/Military/Armed Forces
Real Estate Salespersons/Property Mgrs.
Religious Professional
Retail Shop Manager
Scientist/Statistician/Mathematician/Geologist/Economist
Self Employed
Semi-Skilled Worker
Storeman
Tradesman/Artisan
Wholesale Shop Manager
48
What is your annual income from this source?This is your income from this source over one year
Please Select
Please Select
USD
GBP
EUR
Currency
Please Select
Please Select
0 - 25,000
25,001 - 75,000
75,001 - 125,000
More than 125,000
Amount
49
What is your annual income from this source?This is your income from this source over one year
Please Select
Please Select
0 - 25,000 USD
25,001 - 75,000 USD
75,001 - 125,000 USD
More than 125,000 USD
50
What is your mother's name?* This field is required.We may use this information to verify your identity to prevent fraud.
51
Next, what is your marital status?* This field is required.
Please Select
Please Select
Single
Married
Widowed
52
Last one, what is your education status?* This field is required.
Please Select
Please Select
High School or lower
Undergraduate
Graduate
Post-graduate
Professional
Doctor Philosophy
53
Are you a US taxpayer?* This field is required.
Yes
No
54
In which country do you pay tax?* This field is required.
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Burundi
Cambodia
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Republic of the Congo (Brazzaville)
Cook Islands
Costa Rica
Côte d’Ivoire
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Italy
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
North Macedonia
Northern Cyprus
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Georgia & South Sandwich Islands
South Korea
South Ossetia
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Wallis & Futuna
Western Sahara
Zambia
Zimbabwe
55
Please enter your SSN or ITIN number.* This field is required.Please enter your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) below
We use this info to verify your identity
56
Nominee's Full Name* This field is required.This person will be the trustee to your funds in the event of your death.
First Name
Last Name
57
Nominee's Full NameThis person will be the trustee to your funds in the event of your death.
Nominee's Full Name
58
Nominee's Main Phone Number* This field is required.Please enter your nominee's main phone number
Please Select
Please Select
Afghanistan (+93)
Albania (+355)
Algeria (+213)
American Samoa (+1)
Andorra (+376)
Angola (+244)
Anguilla (+1)
Antarctica (+672)
Antigua & Barbuda (+1)
Argentina (+54)
Armenia (+374)
Aruba (+297)
Australia (+61)
Austria (+43)
Azerbaijan (+994)
Bahamas (+1)
Bahrain (+973)
Bangladesh (+880)
Barbados (+1)
Belarus (+375)
Belgium (+32)
Belize (+501)
Benin (+229)
Bermuda (+1)
Bhutan (+975)
Bolivia (+591)
Bosnia & Herzegovina (+387)
Botswana (+267)
Bouvet Island (+0)
Brazil (+55)
British Indian Ocean Territory (+246)
British Virgin Islands (+1)
Brunei (+673)
Burundi (+257)
Cambodia (+855)
Canada (+1)
Cape Verde (+238)
Cayman Islands (+1)
Central African Republic (+236)
Chad (+235)
Chile (+56)
China (+86)
Christmas Island (+61)
Cocos (Keeling) Islands (+61)
Colombia (+57)
Comoros (+269)
Republic of the Congo (Brazzaville)(+242)
Cook Islands (+682)
Costa Rica (+506)
Côte d’Ivoire (+225)
Cuba (+53)
Curaçao (+599)
Cyprus (+357)
Czechia (+420)
Denmark (+45)
Djibouti (+253)
Dominica (+1)
Dominican Republic (+1)
Ecuador (+593)
Egypt (+20)
El Salvador (+503)
Equatorial Guinea (+240)
Eritrea (+291)
Estonia (+372)
Eswatini (+268)
Ethiopia (+251)
Falkland Islands (+500)
Faroe Islands (+298)
Fiji (+679)
Finland (+358)
France (+33)
French Guiana (+594)
French Polynesia (+689)
French Southern Territories
Gabon (+241)
Gambia (+220)
Georgia (+995)
Germany (+49)
Ghana (+233)
Gibraltar (+350)
Greece (+30)
Greenland (+299)
Grenada (+473)
Guadeloupe (+590)
Guam (+671)
Guatemala (+502)
Guernsey (+1481)
Guinea (+224)
Guinea-Bissau (+245)
Guyana (+592)
Heard & McDonald Islands (+672)
Honduras (+504)
Hong Kong SAR China (+852)
Hungary (+36)
Iceland (+354)
India (+91)
Indonesia (+62)
Iraq (+964)
Ireland (+353)
Isle of Man (+44)
Italy (+39)
Japan (+81)
Jersey (+1534)
Jordan (+962)
Kazakhstan (+7)
Kenya (+254)
Kiribati (+686)
Kosovo (+383)
Kuwait (+965)
Kyrgyzstan (+996)
Laos (+856)
Latvia (+371)
Lebanon (+961)
Lesotho (+266)
Liberia (+231)
Libya (+218)
Liechtenstein (+423)
Lithuania (+370)
Luxembourg (+352)
Macao SAR China (+853)
Madagascar (+261)
Malawi (+265)
Malaysia (+60)
Maldives (+960)
Malta (+356)
Marshall Islands (+692)
Martinique (+596)
Mauritania (+222)
Mauritius (+230)
Mayotte (+262)
Mexico (+52)
Micronesia (+691)
Moldova (+373)
Monaco (+377)
Mongolia (+976)
Montenegro (+382)
Montserrat (+664)
Morocco (+212)
Nauru (+674)
Nepal (+977)
Netherlands (+31)
Netherlands Antilles
New Caledonia (+687)
New Zealand (+64)
Nicaragua (+505)
Niger (+227)
Niue (+683)
Norfolk Island (+672)
North Macedonia (+389)
Northern Cyprus (+90)
Northern Mariana Islands (+670)
Norway (+47)
Oman (+968)
Pakistan (+92)
Palau (+680)
Palestine (+970)
Panama (+507)
Papua New Guinea (+675)
Paraguay (+595)
Peru (+51)
Pitcairn Islands (+64)
Poland (+48)
Portugal (+351)
Puerto Rico (+787)
Qatar (+974)
Réunion (+262)
Romania (+40)
Rwanda (+250)
Samoa (+685)
San Marino (+0549)
São Tomé & Príncipe (+239)
Saudi Arabia (+966)
Serbia (+381)
Seychelles (+248)
Sierra Leone (+232)
Singapore (+65)
Sint Maarten (+721)
Slovakia (+421)
Slovenia (+386)
Solomon Islands (+677)
Somalia (+252)
South Georgia & South Sandwich Islands (+0)
South Korea (+82)
South Ossetia (+7)
Spain (+34)
Sri Lanka (+94)
St. Barthélemy (+590)
St. Helena (+290)
St. Kitts & Nevis (+869)
St. Lucia (+1)
St. Pierre & Miquelon (+508)
St. Vincent & Grenadines (+1)
Sudan (+249)
Suriname (+597)
Svalbard & Jan Mayen (+0)
Sweden (+46)
Switzerland (+41)
Taiwan (+886)
Tajikistan (+992)
Thailand (+66)
Timor-Leste (+670)
Togo (+228)
Tokelau (+690)
Tonga (+676)
Trinidad & Tobago (+1)
Tunisia (+216)
Turkmenistan (+993)
Türkiye (+90)
Turks & Caicos Islands (+1)
Tuvalu (+688)
U.S. Outlying Islands (+1)
U.S. Virgin Islands (+1)
Uganda (+256)
Ukraine (+380)
United Arab Emirates (+971)
United Kingdom (+44)
United States (+1)
Uruguay (+598)
Uzbekistan (+998)
Vanuatu (+678)
Vatican City (+39)
Venezuela (+58)
Wallis & Futuna (+681)
Western Sahara (+0)
Zambia (+260)
Zimbabwe (+263)
Please select nominee's country code
Please enter nominee's phone number
59
Nominee's Email* This field is required.Please enter your nominee's active email address
example@example.com
60
What is your nominee's relationship with you?* This field is required.Are they a parent, spouse, business partner or others?
Please Select
Please Select
Spouse
Parent
Brother / Sister
Daughter / Son
Grandchild
Grandparent
Nephew / Niece
Uncle / Aunt
Family Member
Friend
Business Partner
61
Please upload a scanned copy of the data page of your passport showing your photo and personal details
62
Upload your Passport's Data Page * This field is required.Filetype accepted: PDF, JPG, JPEG, PNG
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
63
By submitting this form, you agree to WAAFI's Privacy Policy (Terms of PDPA).* This field is required.Please scroll and read the Privacy Policy below until the end before clicking on the checkbox to accept the terms.
64
By submitting this form, you agree to WAAFI's Terms and Conditions. You also hereby agree that all the information provided in this form is true and correct at the moment of submission to the best of your ability.* This field is required.Please scroll and read the Terms and Conditions below until the end before clicking on submit.
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